Fundamental of Nursing NCLEX RN Practice Questions
Home / Nursing & Allied Health Certifications / NCLEX RN / RN Fundamentals of Nursing
Question 1 of 5.
The nurse is caring for a client two days post-operative following gastroduodenostomy. After reviewing the clinical data, the nurse should take which action?
A. obtain a prescription for an antihypertensive
B. determine if the client's pain is being controlled
C. assess the client's surgical wound for signs of infection
D. notify the physician for concerns of hypovolemic shock
Explanation: Without specific clinical data, the priority for a client two days post-gastroduodenostomy is to assess for hypovolemic shock, a potential complication due to bleeding or fluid loss from the surgical site. This is more urgent than pain control, wound infection assessment, or antihypertensive needs, which require specific clinical indicators.
Question 2 of 5.
The nurse recognizes which of the following would contraindicate the use of electronic blood pressure monitoring?
A. Coarse tremors
B. Intrajugular central vascular access device
C. Wearing a wrist watch
D. Cardiac pacemaker
Explanation: Coarse tremors can interfere with accurate electronic blood pressure readings. Intrajugular devices, wrist watches, and pacemakers do not typically contraindicate use.
Question 3 of 5.
The nurse observes a client perform isometric exercises. It would indicate effective understanding if the client
A. Exercises both extremities simultaneously.
B. Knows their heart rate should be monitored while exercising.
C. Practices forced resistance against stable objects.
D. Swings their limbs through the full range of motion.
Explanation: Isometric exercises involve static muscle contraction against resistance, like pushing against a stable object. Simultaneous exercise, heart rate monitoring, and full range of motion are not specific to isometrics.
Question 4 of 5.
The nurse is teaching a client about ambulating with a cane. It would indicate effective teaching if the nurse observes the client
A. Position the cane on their weaker side.
B. Advances their weaker leg first, then the cane.
C. Measures the height of the cane from their wrist crease.
D. Advances the cane 12-16 inches with each step.
Explanation: Advancing the cane 12-16 inches ensures stability. The cane is held on the stronger side, stronger leg moves first, and height is measured to the greater trochanter.
Question 5 of 5.
The nurse is teaching a client about a vegetarian diet. Which of the following foods should the nurse recommend for this diet? Select all that apply.
A. Legumes
B. Almond butter
C. Grilled chicken
D. Apricots
E. Baked fish
F. Seafood salad
Explanation: Vegetarian diets exclude meat, so legumes, almond butter, and apricots are suitable. Chicken, fish, and seafood are not vegetarian.
Related Questions